Information Collection

Disabled Veterans Application for Vocational Rehabilitation and 38 CFR 21.30

IC 28085 under ICR 200801-2900-011 · OMB 2900-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 28-1900 Disabled Veterans Application for Vocational Rehabilitation and 38 CFR 21.30	Form
VA Form 28-1900 Disabled Veterans Application For Vocational Rehabilitat 28-1900.pdf www.va.gov/vaforms	Form

IC Title:

Disabled Veterans Application for Vocational Rehabilitation and 38 CFR 21.30

Agency IC Tracking Number:

2900-0009

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 21.30

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 28-1900	Disabled Veterans Application For Vocational Rehabilitation (Chapter 31, Title 38, U.S.C.)	28-1900.pdf	www.va.gov/vaforms	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 67,844

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 11 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	67,844	67,844
Annual IC Time Burden (Hours)	16,961	16,961
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.